| NPI | 1922482769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 4499) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H107493) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2022-09-14 |